SHANNELLE SUSANNE RICO (MD) – Family Medicine Physician, NPI 1023078623
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHANNELLE SUSANNE RICO (MD)
Highway 77, Winnebago, Thurston County, Nebraska, 69071, United States
P.O. BOX HH
WINNEBAGO, NE 680710767
Phone: (402) 878-2231
Type: Mailing
Rosebud Island, Town of Onalaska, La Crosse County, Wisconsin, 54650, United States
SOLDIER CREEK ROAD
ROSEBUD, SD 575700400
Phone: (605) 747-3245
Fax: (605) 747-2216
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071101000703 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 74 | 58 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 48 | 43 | $0 |
| 71045 | X-ray of chest, 1 view | 35 | 32 | $0 |
| 70450 | Ct scan head or brain without contrast | 21 | 19 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 18 | 16 | $0 |
Insurance plans in this area (ZIP 68071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| Qualified Speech Language Pathologist | SD | |
| Nurse Practitioner | SD | |
| Clinical Social Worker | SD | |
| Diagnostic Radiology | SD | |
| C H I R O P R A C T I C | SD | |
| O P T O M E T R Y | SD | |
| Occupational Therapist In Private Practice | SD | |
| - | SD | |
| Nurse Practitioner | SD |
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